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An exercise physiologist works with a patient at a cardiac rehab class — Medicare plans to pay more for a type of cardiac rehabilitation that takes place in certain outpatient clinics owned by hospitals, going against growing support for site-neutral payments. Photo illustration: STAT, Photo: Mark Duncan/AP

Medicare plans to pay more for a type of cardiac rehabilitation that takes place in certain outpatient clinics owned by hospitals.

Medicare has admitted it is doing so due to an error in reading federal law, but it also goes against the grain of the current environment, where support for site-neutral payments has never been higher. Some members of Congress and health care experts are pushing for a system that would not pay hospital outpatient departments more for identical services that are provided in lower-priced physician offices.

Naturally, hospitals cheered regulators for increasing payments. But they don’t want the government to stop there. They also want Medicare to retroactively reprocess all underpaid heart rehab sessions, and they are using this proposal as a way to reiterate their desire to kill all policies that would pay hospital-owned clinics the same as physician offices.

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